Role of work engagement in behavioural intention to use electronic medical records: A cross-sectional study

Background: In this era of a rapidly advancing technological landscape, the Electronic Medical Record (EMR) has increased the awareness of health services on the importance of the roles of workers in utilising information technology. Objective: To analyse the factors influencing behavioural intention in the EMR system by adding the work engagement factor as an exogenous variable based on the Unified Theory of Acceptance and Use of Technology (UTAUT) theoretical framework. Method: This cross-sectional study enrolled a sample of 195 participants from a population of 390 medical students. Data analysis used structural models with multivariate structural equation modelling. Results: Facilitating conditions (t-statistic=3.154; p=0.0001), performance expectancy (t-statistic=2.983, p=0.003), and work engagement (tstatistic=4.998, p=0.0001) had an effect on the behavioural intention, while effort expectancy (t-statistic=0.779, p=0.436) and social influence (t-statistic=0.266, p=0.790) did not affect the behavioural intention. Conclusion: Performance expectancy, facilitating conditions, and work engagement could affect behavioural intention by R-2=74%. Work engagement had the strongest effect among other exogenous variables.